You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

Patients with droplet diseases such as measles require an N95 mask.

I will always wash my hands with soap and water, not hand sanitizer, if I provide care to patients with C. diff, norovirus, and rotavirus infections.

I will make sure that any patient who is in droplet precaution wears a surgical mask when being transported.

I will always wear a gown and gloves when entering a room of a patient in contact precautions.

Answer and Explanation

The Correct Answer is A

A reason:

Patients with droplet diseases such as measles require re-education. Measles is an airborne disease, not droplet, and requires airborne precautions, including an N95 mask.

B reason:

Washing hands with soap and water, not hand sanitizer, for C. diff, norovirus, and rotavirus is correct. These infections require thorough hand washing to remove spores effectively.

C reason:

Ensuring patients in droplet precaution wear a surgical mask when being transported is correct. This helps to prevent the spread of infectious droplets.

D reason:

Wearing a gown and gloves when entering a room of a patient in contact precautions is correct. This prevents the spread of infections through direct and indirect contact.

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Correct Answer is C

Explanation

A reason:

Decreased heart rate is not a manifestation of hypovolemia. In fact, hypovolemia typically causes an increased heart rate (tachycardia) as the body attempts to compensate for the reduced blood volume.

B reason:

Increased blood pressure is not a characteristic of hypovolemia. Hypovolemia usually results in decreased blood pressure (hypotension) due to the reduced volume of blood circulating in the body.

C reason:

A weak pulse is a common manifestation of hypovolemia. Due to the reduced blood volume, the heart may not be able to generate a strong pulse, resulting in a weak and thready pulse.

D reason:

Dyspnea, or difficulty breathing, can be associated with hypovolemia but it is not as direct a manifestation as a weak pulse. It may occur due to inadequate oxygen delivery to tissues or related conditions, but the primary signs of hypovolemia are related to blood pressure and pulse.

A. Mask B. Gloves C. Goggles D. Gown

Correct Answer is A

Explanation

A reason:

Wearing a mask is essential for droplet precautions to prevent the nurse from inhaling respiratory droplets that could contain infectious agents. Droplet precautions are necessary for infections that are spread through large respiratory droplets, such as influenza and pertussis.

B reason:

While gloves are important for contact precautions, they are not specifically required for setting up a meal tray under droplet precautions. The primary focus should be on preventing the inhalation of infectious droplets.

C reason:

Goggles are not typically necessary for droplet precautions unless there is a risk of splashes or sprays. The primary protective equipment is a mask.

D reason:

A gown is used for contact precautions to protect clothing from contamination. It is not required for droplet precautions unless there is a risk of direct contact with infectious materials.

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You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

Correct Answer is C

Explanation

A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the client's meal tray?

Correct Answer is A

Explanation

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

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